By Yvette Barton

Baby wearing in some form of sling or another has been entrenched in the parenting practices of some cultures for centuries. In the western world we have been a little slower to get on the baby wearing bandwagon, but baby slings are now in common used by many parents. Baby wearing is a wonderfully practical and natural way to carry your baby. It encourages bonding, promotes intelligence, and leaves your hands free to complete other tasks. However the sad truth is that babies have died while being carried in baby slings due to the suffocation risks some slings and positions can pose. Practicing safe baby wearing will allow you to enjoy all the benefits of keeping your baby close while also keeping them safe.

Selecting for Safety

Manufacturers have produced a plethora of different types of baby slings and anyone who has used one (or more) is likely to have an opinion on the best (and possibly worst) slings on the market. However it is important not to assume that because a sling is available for sale or because someone has told you they loved this type, that it is safe. Like every other piece of equipment you buy your baby, it is important to know yourself what the requirements are for safety and to check slings before purchase to ensure they are safe.

Safety Checklist

There are three golden rules when it comes to baby slings. First, the sling needs to keep your baby in an upright position. Next, the sling should not in any way hamper your ability to see your baby’s face. Third, the design of the sling and your baby’s position in it, should prevent your baby’s face from being covered or restricted. Some years ago a UK agency called The Consortium of UK Sling Manufacturers and Retailers developed a checklist to promote sling safety. It is known as the TICKS Rule for Safe Baby Wearing:

  • Tight
  • In view at all times
  • Close enough to kiss
  • Keep chin off the chest
  • Supported back


Many of the deaths associated with baby slings can be attributed to slack or loose fitting slings which allow your baby to slump down in the sling. Instead, slings and carriers should keep your baby as tight to your body as they would be if you hugged them close. Apart from reducing the risk of your baby’s breathing being impaired, keeping your baby tight to your body will also prevent unnecessary strain on your back and be more comfortable for your baby too.

In View at All Times

So that you can be sure your baby is safe and well it is extremely important that you are able to see your baby’s face at all times by simply glancing down. While you are and going about your day, if you cannot see your baby’s face you are unlikely to know if they are in difficulty. There should not be any fabric which closes around your baby’s head, nor should you need to unbutton, unzip or untie anything to see your baby’s face. If your baby is in a cradle position, position them so they are facing upwards not towards your body.

Close Enough to Kiss

If your chosen sling allows your baby to hang too low down on your body, there is potential for your baby’s face, and therefore their breathing, to be obstructed against your body. The best way to ensure your baby is placed correctly is the kiss test. While you baby is in the sling, if you tip your head forward you should be able to kiss your baby on their head or forehead. If not, your baby is placed too low down. Instead your baby’s head should be as close to your chin as comfort will allow.

Keep Chin off the Chest

While your baby was tightly curled in your uterus during the final months of pregnancy, this is not a safe position in a sling. Earth-side your baby does not have the benefit of an umbilical cord for oxygen. Slings that result in tight curling of the body can force baby’s chin onto their chest and restrict their breathing. Horrifyingly this restriction of oxygen can result in a baby slowly suffocating. At all times there should be at least a finger width of space under your baby’s chin.

Supported Back

If you have followed the first four rules in this list then this one has probably taken care of itself. Just the same, it is important to mention that in upright slings your baby’s back should be well supported. Again what is important here is that your baby is not allowed to slump. In particular babies in cradle carriers or ring slings must be very carefully placed. Their bottom should be in the deepest part of the sling and care must be taken to ensure that your baby is neither allowed to fold in half with their chin on their chest, or have their head entrapped by excess fabric. Pouch slings are largely accepted to present the most danger in this regard and are perhaps best avoided.

Download TICKS rules for safe baby wearing PDF.

Yvette Barton has a Bachelor of Education and currently works as both an eLearning Adviser for Swinburne Online Learning, and as a freelance writer and editor. Yvette is a fierce advocate for homebirth, women’s rights to choose where they labour and birth, and midwives’ rights to attend birthing women without governmental constraints. Yvette is also an advocate for natural and adoptive breastfeeding, co-sleeping, baby wearing, conscious parenting, and child advocacy. Yvette lives in Sydney with her two daughters.